Individual provider Active NPI

Bernadette McHugh, M.S.P.T.

  • Physical Therapist
  • St Johns, FL
National Provider Identifier
1154399681
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT24294 Issued in FL
Practice address
150 Fountains Way Ste 4
St Johns, FL 32259-1171
Phone
(904) 825-2660
NPI assigned
Mar 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT24294 FL Primary
Physical Therapist 225100000X 17352 MA

Addresses

Primary practice location

150 Fountains Way Ste 4
St Johns, FL 32259-1171

Mailing address

228 Sparrow Branch Cir
St Johns, FL 32259-5501
Phone (561) 629-3325

Other identifiers 5

IdentifierTypeStateIssuer
Y68539OtherMABLUECROSS BLUESHIELD
000000033239OtherMABOSTON MEDICAL CENTER HEALTHNET
487176OtherMATUFTS
0704393MedicaidMA
524008OtherFALLON

Other names 1

  • Bernadette Noone Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT24294FLMDPhysical Therapist
17352MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
H2 Rehabilitation Services of Florida LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1154399681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 SPARROW BRANCH CIR",
            "city": "ST JOHNS",
            "state": "FL",
            "postal_code": "322595501",
            "telephone_number": "561-629-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 FOUNTAINS WAY STE 4",
            "city": "ST JOHNS",
            "state": "FL",
            "postal_code": "322591171",
            "telephone_number": "904-825-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCHUGH",
        "first_name": "BERNADETTE",
        "credential": "M.S.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-10",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT24294",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "17352",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "Y68539",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOSTON MEDICAL CENTER HEALTHNET",
            "identifier": "000000033239",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "487176",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0704393",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON",
            "identifier": "524008",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BERNADETTE",
            "last_name": "NOONE",
            "credential": "M.S.P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in St Johns, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.